Provider Demographics
NPI:1316650187
Name:SALVUCCI, CHRISTINE FRANCES (RN, BSN, CLC, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:FRANCES
Last Name:SALVUCCI
Suffix:
Gender:F
Credentials:RN, BSN, CLC, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 BROOKS AVE
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-7617
Mailing Address - Country:US
Mailing Address - Phone:781-724-3747
Mailing Address - Fax:
Practice Address - Street 1:89 BROOKS AVE
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-7617
Practice Address - Country:US
Practice Address - Phone:781-724-3747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-26
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAL-307498163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant